During an interview, the nurse states, "You mentioned shortness of breath.
Tell me more about that.”. Which verbal skill is used with this statement?
Facilitation.
Direct ask.
Open-ended ask.
Reflection.
The Correct Answer is C
Choice A rationale
Facilitation is a verbal technique that encourages the patient to say more by using non-verbal cues, such as nodding, or minimal verbal cues like "Mm-hmm" or "Go on.”. While it promotes communication, the statement "Tell me more about that" is a direct prompt for detailed information, not a subtle encouragement.
Choice B rationale
A direct ask is a specific question that elicits a concise, often one-word or brief, answer, such as "Are you in pain?" or "When did the shortness of breath start?" The nurse's statement, however, invites elaboration and detailed description, going beyond a simple direct response.
Choice C rationale
An open-ended ask is a type of question that encourages a comprehensive and descriptive response from the patient, rather than a simple yes or no answer. By asking "Tell me more about that," the nurse invites the patient to elaborate on their experience of shortness of breath, providing a richer understanding of the symptom.
Choice D rationale
Reflection involves repeating a patient's words or phrases to encourage further expression of their feelings or thoughts. While the nurse acknowledges the patient's mention of "shortness of breath," the statement "Tell me more about that" is an invitation for elaboration, not a direct reflection of the patient's exact words to encourage emotional exploration.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Joint stiffness after sitting for a long period of time, often referred to as "gelling," is a common symptom associated with inflammatory joint conditions like osteoarthritis or rheumatoid arthritis. While it can be a source of discomfort and reduced mobility, it typically does not indicate an immediate life-threatening situation. The body's synovial fluid thins with inactivity, leading to increased friction and stiffness upon movement.
Choice B rationale
Nausea with a small amount of vomitus suggests gastrointestinal upset. While it can cause discomfort and lead to dehydration if persistent, it is generally not an acute emergency unless accompanied by severe abdominal pain, signs of dehydration, or other systemic symptoms. The body's chemoreceptor trigger zone can be activated by various stimuli, leading to the sensation of nausea and subsequent emesis.
Choice C rationale
A rash that developed after a second dose of antibiotics could indicate an allergic reaction, which ranges from mild to severe. While allergic reactions require assessment and intervention, they are not immediately life-threatening unless accompanied by signs of anaphylaxis such as angioedema or respiratory distress. This hypersensitivity reaction involves the immune system's response to the drug as an antigen.
Choice D rationale
Shortness of breath with audible wheezing indicates respiratory distress, which is a critical and potentially life-threatening condition. Wheezing suggests airway narrowing, which impedes oxygen-carbon dioxide exchange. Immediate assessment and intervention are required to prevent respiratory arrest and ensure adequate oxygenation to vital organs. This physiological response reflects bronchoconstriction and inflammation, severely compromising ventilation.
Correct Answer is B
Explanation
Choice A rationale
Cranial nerve I (olfactory) is responsible for smell, and cranial nerve II (optic) is responsible for vision. Cranial nerve V (trigeminal) is involved in facial sensation and mastication. These nerves are not primarily involved in controlling the extrinsic eye muscles responsible for eye movement.
Choice B rationale
Cranial nerve III (oculomotor) innervates the superior, inferior, and medial recti, and the inferior oblique muscles, and controls eyelid elevation. Cranial nerve IV (trochlear) innervates the superior oblique muscle. Cranial nerve VI (abducens) innervates the lateral rectus muscle. Together, these three cranial nerves precisely coordinate all six extraocular muscles for conjugate gaze.
Choice C rationale
While cranial nerve III (oculomotor) is correctly identified, cranial nerve V (trigeminal) and cranial nerve XI (accessory) are not primarily involved in eye movement. Cranial nerve V is involved in facial sensation and mastication, and cranial nerve XI innervates the sternocleidomastoid and trapezius muscles for head and shoulder movement.
Choice D rationale
Cranial nerve II (optic) is responsible for vision, transmitting visual information from the retina to the brain. Cranial nerve V (trigeminal) is involved in facial sensation and chewing. Cranial nerve VI (abducens) is correctly identified as innervating the lateral rectus, but the other two nerves listed do not control the majority of eye movements.
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